A woman in her early 40s presented to the emergency department with a 2-month history of fluctuating neck pain. Neurologic examination findings were unremarkable. Cerebral magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) examination results were normal. Spinal MRI revealed a contrast-enhancing cervical epidural mass (Figure, C). An inflammatory or neoplastic process was suspected and a biopsy was considered.
Herwerth M, Prothmann S, Kreiser K, Hemmer B, Ploner M. Spontaneous Cerebrospinal Fluid Leak With Venous Engorgement Mimicking a Contrast-Enhancing Cervical Mass. JAMA Neurol. 2016;73(7):886-887. doi:10.1001/jamaneurol.2016.0277